Chan Jeremy, Oo Shwe
Department of Cardiothoracic Surgery, Morriston Hospital, Swansea, UK.
Department of Cardiothoracic Surgery, University Hospital Bristol, Bristol, UK.
J Card Surg. 2019 Sep;34(9):754-758. doi: 10.1111/jocs.14124. Epub 2019 Jul 23.
Approximately 36 400 cardiac and 23 100 thoracic operations are carried out in the United Kingdom between 2006 and 2015. National Health Service (NHS) resolution, as known as the NHS litigation authority, is one of the essential bodies of the Department of Health. Its purpose is to provide NHS expertise to resolve concerns fair and square share learning for improvement. We aim to evaluate and increase awareness of medicolegal cases in cardiothoracic surgery. Total numbers and details of claims coded by NHS resolution in cardiothoracic surgery from 2004 to 2017 were requested under the Freedom of Information Act 2000. The data provided in successful claims is further breakdown into damages paid to the claimant, defence cost, claimant cost paid and the sum of the three. In contrast, unsuccessful claims only include the defence cost. Moreover, data provided also includes further analysis of primary causes and primary injuries for Claims Closed/Settled with damages paid. There were 753 claims recorded from 2004 to 2017, of which 415 (55.11%) were successful. The number of claims has been steadily increasing since 2004, with two significant raises from 2009/10 to 2010/11 (37-55, 48.64% raise) and 2012/13 to 2013/14 (49-69, 40.82% raise). The mean successful claim ratio was 69.58% (range, 47.56%- 83.33%) There is also a steady increase in the successful ratio from 2004 to 2017. In summary, this is the first study published in relation to litigation claims on cardiothoracic surgery in the United Kingdom. The results have provided insight on claims made against cardiothoracic surgery.
2006年至2015年期间，英国进行了约36400例心脏手术和23100例胸科手术。国民医疗服务体系（NHS）决议机构，即NHS诉讼管理局，是卫生部的重要机构之一。其目的是提供NHS专业知识，公正地解决问题，并分享经验教训以促进改进。我们旨在评估并提高对心胸外科医疗法律案件的认识。根据2000年《信息自由法》，我们要求获取NHS决议机构对2004年至2017年心胸外科手术索赔进行编码的总数及详细信息。成功索赔案件中提供的数据进一步细分为支付给索赔人的赔偿金、辩护费用、支付给索赔人的费用以及这三项的总和。相比之下，未成功的索赔仅包括辩护费用。此外，提供的数据还包括对已结案/已和解并支付赔偿金的索赔的主要原因和主要伤害的进一步分析。2004年至2017年共记录了753起索赔案件，其中415起（55.11%）成功。自2004年以来，索赔数量一直在稳步增加，在2009/10年至2010/11年（从37起增至55起，增长48.64%）以及2012/13年至2013/14年（从49起增至69起，增长40.82%）出现了两次显著增长。成功索赔的平均比例为69.58%（范围为47.56% - 83.33%），从2004年到2017年成功比例也在稳步上升。总之，这是英国发表的关于心胸外科手术诉讼索赔的第一项研究。研究结果为针对心胸外科手术的索赔提供了见解。
